Abstract: Allergic rhinitis is a common allergic disease in children. Its pathogenesis is complex and it is difficult to achieve a radical cure or effective and stable long-term treatment goals. Chinese medicine has obvious advantages in preventing and treating allergic rhinitis in children due to its wide range of targets, long-lasting effects and few adverse reactions. This paper proposes that the onset of allergic rhinitis is mostly caused by the dysfunction of the lungs, spleen and kidneys, the external wind triggering the underlying wind, and the combination of the two winds. A staged prevention and treatment strategy of Chinese medicine should be adopted, which includes dispersing external wind, suppressing underlying wind, and promoting lungs and orifices during the attack period to treat its symptoms, and preventing external wind, calming down underlying wind, and regulating and tonifying the lungs, spleen, and kidneys during the remission period to treat its root cause; meanwhile, attention should be paid to avoiding the adverse effects of congenital endowment factors and the induction of acquired environmental factors, strengthening the body's health to protect against the evil wind, preventing the transformation of existing diseases and the recurrence of allergic rhinitis in children at all stages.